# PHILIP DUELL DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689884371
- **Authorized official:** DR. PHILIP DUELL D.D.S. (PRESIDENT)
- **Authorized official phone:** (734) 671-1620

## Contact information

- **Practice address:** 22341 WEST RD, WOODHAVEN, MI 48183-3157
- **Practice address phone:** (734) 671-1620
- **Practice address fax:** (734) 671-2154
- **Mailing address:** 22341 WEST RD, WOODHAVEN, MI 48183-3157
- **Mailing address phone:** (734) 671-1620
- **Mailing address fax:** (734) 671-2154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901014599 | MI | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020
